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Lewis & Clark CC Student Information Form
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* Indicates required question
Email
*
Your email
Best phone number to reach you
*
Your answer
Communication preference
*
email
phone (calls)
phone (text)
Other:
Required
First and Last Name (include a preferred name, if desired)
*
Your answer
Do you have regular access to the internet? (It might be through your cell phone, wifi, hotspot, college, or community wifi parking lot.)
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Yes
No
What technology are you using to participate in this class?
*
Computer or laptop
Cell phone
Tablet
Required
Which high school equivalency test will you take?
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GED
HiSET
TASC
Not sure yet
How do you feel about learning science? (Excited, bored, scared, intimidated?) Why?
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Your answer
Describe one teacher, class, or learning experience you’ve had related to science. Pick your most memorable memory—good or bad!
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Your answer
Do you consider yourself to be "scientifically literate"? Why or why not?
*
Your answer
What are your plans for after you pass your high school equivalency exams? Considering college, job training, a new career or promotion, military service? What’s next?
*
Your answer
Use this space for anything else you'd like me to know.
*
Your answer
Send me a copy of my responses.
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